St. Mary'S Specialty LLC
NPI 1831730670 · Anesthesiology Physician · Russellville, AR
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St. Mary'S Specialty LLC is a Anesthesiology Physician organization in Russellville, AR (NPI 1831730670).
Provider details
- NPI number
- 1831730670
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terrance Dillon, Assistant Secretary(502) 596-7220
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-10-02
- Last updated
- 2022-02-11
- Certified
- 2022-02-11
Frequently asked questions
- What is St. Mary'S Specialty LLC's NPI number?
- St. Mary'S Specialty LLC's National Provider Identifier (NPI) is 1831730670, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Mary'S Specialty LLC?
- St. Mary'S Specialty LLC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is St. Mary'S Specialty LLC located?
- St. Mary'S Specialty LLC's practice location on file with NPPES is 1808 W Main St, Russellville, AR 72801-2724.
- What is St. Mary'S Specialty LLC's phone number?
- The practice phone number listed in the NPPES registry for St. Mary'S Specialty LLC is (479) 968-2841.
- Does St. Mary'S Specialty LLC accept Medicare?
- St. Mary'S Specialty LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St. Mary'S Specialty LLC?
- The authorized official listed on St. Mary'S Specialty LLC's NPPES record is Terrance Dillon, Assistant Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Mary'S Specialty LLC's NPI active?
- Yes — St. Mary'S Specialty LLC's NPI (1831730670) is active in the NPPES registry as of the last update on 2022-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.